Register      Login
Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
RESEARCH ARTICLE

Help-seeking intentions for anxiety among older adults

Katrina Anderson A B C , Tushara Wickramariyaratne A B and Annaliese Blair A B
+ Author Affiliations
- Author Affiliations

A Southern NSW LHD, Level 3, 34 Lowe Street, Queanbeyan, NSW 2620, Australia.

B Australian National University, Canberra, ACT 2601, Australia.

C Corresponding author. Email: katrina.anderson1@health.nsw.gov.au

Australian Journal of Primary Health 23(5) 489-495 https://doi.org/10.1071/PY15185
Submitted: 2 December 2015  Accepted: 6 February 2017   Published: 18 May 2017

Abstract

Mental health practices are not working for older people with anxiety in residential care, as there is a persistent lack of recognition and treatment. This suggests that alternative ways of reaching and meeting the needs of this population need to be explored. One possibility involves enabling older adults themselves to seek help. The current work explored various factors impacting on help-seeking behaviours. In total, 105 participants from independent living units in a residential care setting completed a questionnaire focusing on attitudes and stigma towards anxiety, likelihood to seek help, help-seeking barriers and literacy around the symptoms of anxiety. Participants in the main did not hold negative attitudes towards other people with anxiety, despite concerns that other people could view them negatively if they were experiencing anxiety. Barriers to help-seeking included: difficulties recognising physical anxiety symptoms as being indicative of anxiety; the effectiveness of treatments; costs; misdiagnosis; privacy; medication usage and the associated side-effects; and, uneasiness about the skills and knowledge of health professionals. Although concerns were not held by all participants, the fact remains that anxiety is largely undiagnosed and untreated for this population and these stoppages to appropriate care must be addressed.

Additional keywords: ageing, mental health, residential care, stigma.


References

Ajzen I (1991) The theory of planned behavior. Organizational Behavior and Human Decision Processes 50, 179–211.
The theory of planned behavior.Crossref | GoogleScholarGoogle Scholar |

Alexopoulos GS (2005) Depression in the elderly. Lancet 365, 1961–1970.
Depression in the elderly.Crossref | GoogleScholarGoogle Scholar |

Andersen RM (2008) National health surveys and the behavioral model of health services use. Medical Care 46, 647–653.
National health surveys and the behavioral model of health services use.Crossref | GoogleScholarGoogle Scholar |

Anderson DN (2001) Treating depression in old age: the reasons to be positive. Age and Ageing 30, 13–17.
Treating depression in old age: the reasons to be positive.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3M3jtVGgsw%3D%3D&md5=ef6c12628dadd3ec84514383558787a2CAS |

Australian Institute of Health and Welfare (2013) Depression in residential aged care 2008–2012. Aged care statistics series number 39. Catalogue number AGE-73. AIHW, Canberra, ACT, Australia.

Bagulho F (2002) Depression in older people. Current Opinion in Psychiatry 15, 417–422.
Depression in older people.Crossref | GoogleScholarGoogle Scholar |

Bartels SJ, Moak GS, Dums AR (2002) Models of mental health services in nursing homes: a review of the literature. Psychiatric Services 53, 1390–1396.
Models of mental health services in nursing homes: a review of the literature.Crossref | GoogleScholarGoogle Scholar |

Botega N, Blizard R, Wilkinson D, Mann A (1992) General practitioners and depression – first use of the depression attitude questionnaire. International Journal of Methods in Psychiatric Research I, 169–180.

Carter SR, Moles R, White L, Chen TF (2016) The willingness of informal caregivers to assist their care-recipient to use Home Medicines Review. Health Expectations 19, 527–542.
The willingness of informal caregivers to assist their care-recipient to use Home Medicines Review.Crossref | GoogleScholarGoogle Scholar |

Chaplin R, Farquharson L, Clapp M, Crawford M (2015) Comparison of access, outcomes and experiences of older adults and working age adults in psychological therapy. International Journal of Geriatric Psychiatry 30, 178–184.
Comparison of access, outcomes and experiences of older adults and working age adults in psychological therapy.Crossref | GoogleScholarGoogle Scholar |

Cole MG, McCusker J, Sewitch M, Ciampi A, Dyachenko A (2008) Health services use for mental health problems by community-living seniors with depression. International Psychogeriatrics 20, 554–570.
Health services use for mental health problems by community-living seniors with depression.Crossref | GoogleScholarGoogle Scholar |

Conner KO, Copeland VC, Grote NK, Koeske G, Rosen D, Reynolds CF, Brown C (2010) Mental health treatment seeking among older adults with depression: the impact of stigma and race. The American Journal of Geriatric Psychiatry 18, 531–543.
Mental health treatment seeking among older adults with depression: the impact of stigma and race.Crossref | GoogleScholarGoogle Scholar |

Cramm JP, Nieboer AP (2014) Neighborhood attributes security and solidarity promote the well-being of community-dwelling older people in the Netherlands. Geriatrics & Gerontology International 14, 681–688.
Neighborhood attributes security and solidarity promote the well-being of community-dwelling older people in the Netherlands.Crossref | GoogleScholarGoogle Scholar |

Davison TE, McCabe MP, Knight T, Mellor D (2012) Biopsychosocial factors related to depression in aged care residents. Journal of Affective Disorders 142, 290–296.
Biopsychosocial factors related to depression in aged care residents.Crossref | GoogleScholarGoogle Scholar |

Day E, Edgren K, Eshleman A (2007) Measuring stigma toward mental illness: development and application of the mental illness stigma scale. Journal of Applied Social Psychology 37, 2191–2219.
Measuring stigma toward mental illness: development and application of the mental illness stigma scale.Crossref | GoogleScholarGoogle Scholar |

DiNapoli EA, Cully JA, Wayde E, Sansgiry S, Yu HJ, Kunik ME (2016) Age as a predictive factor of mental health service use among adults with depression and/or anxiety disorder receiving care through the veterans health administration: age as predictor of mental health service use. International Journal of Geriatric Psychiatry 31, 575–582.
Age as a predictive factor of mental health service use among adults with depression and/or anxiety disorder receiving care through the veterans health administration: age as predictor of mental health service use.Crossref | GoogleScholarGoogle Scholar |

Doyle J (2015) Cuts to Medicare set to increase costs and end bulk billing, say doctors. ABC News, 14 January 2015. Available at http://www.abc.net.au/news/2015-01-13/governments-medicare-rebates-will-put-an-end-to-bulk-billing/6014662 [Verified 23 March 2017]

Gould CE, O’Hara R, Goldstein MK, Beaudreau SA (2016) Multimorbidity is associated with anxiety in older adults in the health and retirement study: multimorbidity and anxiety. International Journal of Geriatric Psychiatry 31, 1105–1115.
Multimorbidity is associated with anxiety in older adults in the health and retirement study: multimorbidity and anxiety.Crossref | GoogleScholarGoogle Scholar |

Harris MG, Hobbs MJ, Burgess PM, Pirkis JE, Diminic S, Siskind DJ, Andrews G, Whiteford HA (2015) Frequency and quality of mental health treatment for affective and anxiety disorders among Australian adults. The Medical Journal of Australia 202, 185–189.
Frequency and quality of mental health treatment for affective and anxiety disorders among Australian adults.Crossref | GoogleScholarGoogle Scholar |

Highet NJ, Hickie IB, Davenport TA (2002) Monitoring awareness of and attitudes to depression in Australia. The Medical Journal of Australia 176, S63–S68.

Iden KR, Engedal K, Hjorleifsson S, Ruths S (2014) Prevalence of depression among recently admitted long-term care patients in Norwegian nursing homes: associations with diagnostic workup and use of antidepressants. Dementia and Geriatric Cognitive Disorders 37, 154–162.
Prevalence of depression among recently admitted long-term care patients in Norwegian nursing homes: associations with diagnostic workup and use of antidepressants.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BC2cXnslymtbY%3D&md5=3c769e329134a9f094e9ef5d39c6ef3cCAS |

Jongenelis K, Pot A, Eisses A, Beekman A, Kluiter H, Ribbe M (2004) Prevalence and risk indicators of depression in elderly nursing home patients: the AGED study. Journal of Affective Disorders 83, 135–142.
Prevalence and risk indicators of depression in elderly nursing home patients: the AGED study.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD2crosVKiuw%3D%3D&md5=e342e045366871ade28ade04c3a3151eCAS |

Jorm AF, Korten AE, Jacomb PA, Christensen H, Rodgers B, Pollitt P (1997) ‘Mental health literacy’: a survey of the public’s ability to recognise mental disorders and their beliefs about the effectiveness of treatment. The Medical Journal of Australia 166, 182–186.

Liamputtong P, Ezzy D (2005). ‘Qualitative Research Methods.’ (Oxford University Press: Melbourne, Vic., Australia)

Lovibond S, Lovibond P (1995) ‘Manual for the Depression Anxiety Stress Scales.’ (The Psychology Foundation of Australia: Sydney, NSW, Australia)

Meleshko KG, Alden LE (1993) Anxiety and self-disclosure: toward a motivational model. Journal of Personality and Social Psychology 64, 1000–1009.
Anxiety and self-disclosure: toward a motivational model.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK3szhs1amsw%3D%3D&md5=d824d68747673dd22e1f50d7ff752055CAS |

Pachana NA, Byrne GJ, Siddle H, Koloski N, Harley E, Arnold E (2007) Development and validation of the Geriatric Anxiety Inventory. International Psychogeriatrics 19, 103–114.
Development and validation of the Geriatric Anxiety Inventory.Crossref | GoogleScholarGoogle Scholar |

Priest RG, Vize C, Roberts A, Roberts M, Tylee A (1996) Lay people’s attitudes to treatment of depression: results of opinion poll for Defeat Depression Campaign just before its launch. British Medical Journal 313, 858–859.
Lay people’s attitudes to treatment of depression: results of opinion poll for Defeat Depression Campaign just before its launch.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK2s%2FisVentA%3D%3D&md5=be57d1ae908437f3825b5c57a6bf5d25CAS |

Robb C, Haley W, Becker M, Polivka L, Chwa H (2003) Attitudes towards mental health care in younger and older adults: similarities and differences. Aging & Mental Health 7, 142–152.
Attitudes towards mental health care in younger and older adults: similarities and differences.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3s3itlChtw%3D%3D&md5=4a35a89bafa82d9dab8b9e8c34b81ed3CAS |

Sanglier T, Saragoussi D, Milea D, Tournier M (2015) Depressed older adults may be less cared for than depressed younger ones. Psychiatry Research 229, 905–912.
Depressed older adults may be less cared for than depressed younger ones.Crossref | GoogleScholarGoogle Scholar |

Scott T, Mackenzie C, Chipperfield J, Sareen J (2010) Mental health service use among Canadian older adults with anxiety disorders and clinically significant anxiety symptoms. Aging & Mental Health 14, 790–800.
Mental health service use among Canadian older adults with anxiety disorders and clinically significant anxiety symptoms.Crossref | GoogleScholarGoogle Scholar |

Segal DL, Coolidge FL, Mincic MS, O’Riley A (2005) Beliefs about mental illness and willingness to seek help: a cross-sectional study. Aging & Mental Health 9, 363–367.
Beliefs about mental illness and willingness to seek help: a cross-sectional study.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD2Mzmt1aktQ%3D%3D&md5=974eb3a4d9c481a44da3a52eeeb7cea5CAS |

Seitz D, Purandare N, Conn D (2010) Prevalence of psychiatric disorders among older adults in long-term care homes: a systematic review. International Psychogeriatrics 22, 1025–1039.
Prevalence of psychiatric disorders among older adults in long-term care homes: a systematic review.Crossref | GoogleScholarGoogle Scholar |

Snowdon J, Fleming R (2008) Recognising depression in residential facilities: an Australian challenge. International Journal of Geriatric Psychiatry 23, 295–300.
Recognising depression in residential facilities: an Australian challenge.Crossref | GoogleScholarGoogle Scholar |

Wolitzky-Taylor KB, Castriotta N, Lenze EJ, Stanley MA, Craske MG (2010) Anxiety disorders in older adults: a comprehensive review. Depression and Anxiety 27, 190–211.
Anxiety disorders in older adults: a comprehensive review.Crossref | GoogleScholarGoogle Scholar |

Wuthrich VM, Frei J (2015) Barriers to treatment for older adults seeking psychological therapy. International Psychogeriatrics 27, 1227–1236.
Barriers to treatment for older adults seeking psychological therapy.Crossref | GoogleScholarGoogle Scholar |

Zung WW (1971) A rating instrument for anxiety disorders. Psychosomatics 12, 371–379.
A rating instrument for anxiety disorders.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaE2M%2Fgs1Ciug%3D%3D&md5=72f59c34aec028fdc78b7d6db3d01000CAS |